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Individual
MRS. KRISTIE H CULPEPPER
Active
Individual
MRS. KRISTIE H CULPEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT MTC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04515
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204969100
DEPT OF LABOR
LA
01
—
G5372
BLUE CROSS BLUE SHIELD
LA
Enumeration date
02/05/2007
Last updated
09/22/2010
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